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41.
OBJECTIVE: To describe our experience with Swenson's operation for Hirschsprung's disease done during the neonatal period. DESIGN: Retrospective study. SETTING: University department of paediatric surgery. SUBJECTS: 10 Neonates with Hirschsprung's disease. INTERVENTIONS: Rectosigmoidectomy and pull through (Swenson's operation), with covering transverse colostomy. MAIN OUTCOME MEASURES: Mortality, morbidity, and continence. RESULTS: The median age at definitive operation was 25 days (range 15-35). There was one late death three weeks after discharge from hospital of respiratory and cardiac failure. Two patients presented with caecal perforation and two with intestinal obstruction; in all four Hirschsprung's disease was diagnosed on frozen section, a transverse colostomy was done, and the Swenson's operation was done electively. The other six were diagnosed by barium enema examination and biopsy, and underwent total bowel irrigation followed by Swenson's operation and transverse colostomy. The colostomies were closed three to four weeks later. There were no postoperative complications. All nine surviving patients were continent (3-4 stools/day), at a mean (SD) follow up of 21 (5) months. CONCLUSION: With the current high standards of anaesthesia and neonatal intensive care, and an experienced surgeon, Swenson's operation for neonatal Hirschsprung's disease is safe and the procedure of choice for this condition.  相似文献   
42.
The paper presents a computational approach and numerical data which facilitate the use of the smeared-tip method for cohesive fracture in large enough structures. In the recently developed K-version of the smeared tip method, the large-size asymptotic profile of the stress intensity factor density along a cohesive crack is considered as a material characteristic, which is uniquely related to the softening stress-displacement law of the cohesive crack. After reviewing the K-version, an accurate and efficient numerical algorithm for the computation of this asymptotic profile is presented. The algorithm is based on solving a singular Abel's integral equation. The profiles corresponding to various typical softening stress-displacement laws of the cohesive crack model are computed, tabulated and plotted. The profiles for a certain range of other typical softening laws can be approximately obtained by interpolation from the tables. Knowing the profile, one can obtain with the smeared-tip method an analytical expression for the large-size solution to fracture problems, including the first two asymptotic terms of the size effect law. Consequently, numerical solutions of the integral equations of the cohesive crack model as well as finite element simulations of the cohesive crack are made superfluous. However, when the fracture process zone is attached to a notch or to the body surface and the cohesive zone ends with a stress jump, the solution is expected to be accurate only for large-enough structures.  相似文献   
43.
Summary the simulation described in Part I was applied to random step polyaddition of a trifunctional monomer and the results were compared with exact solution for an infinite system. The gel point conversions, the weight-average degree of polymerization before (P w) and beyond (P w,sol) the gel point, the sol fraction and the cycle rank were used for comparison. The best way for detection of the gel point conversion is the extrapolation of the gel fraction, w g, to w g=0. The largest fluctuations are exhibited by P w and P w,sol. To get results closer to the exact ones, one can repeat several experiments with smaller number of units or increase the number of units, the former way being somewhat more economical. Typical orders of magnitude used were 107 monomeric units.  相似文献   
44.
The conversion of chromite ore from iskenderun region into chromate was investigated. Firstly, the chromite ore was analysed using conventional chemical methods. Then, the effect of some parameters such as roasting time, temperature and the amount of additives on the conversion efficiency to the chromate was examined. The optimum roasting conditions were determined as 300°C, 2 hours, 10 times the stoichiometrically required amounts of NaClO3 and 6 times the stoichiometrically required amounts of KOH. Under these conditions, the maximum recovery of chromate was found to be 100%. The product obtained from the roasting process was leached with water to produce a clean chromate solution. The effect of temperature and solid/liquid (S/L) ratio was investigated in the water leaching experiments. The optimum experimental results obtained were 100% at a 1:5 solid to water ratio at 25°C and 20 min leaching period. The chromate solution was purified using conventional purification processes.  相似文献   
45.
The operation of a petroleum refinery at TÜPRA . Tütünçiftlik was assessed using the pinch-design method. By making use of heat integration in the heat-exchange network, appreciable amounts of energy can be saved as a result of a capital investment having a pay-back period of about 6·5 months.  相似文献   
46.
OBJECTIVE: To know the variability in the interpretation (normal/pathological) of posteroanterior view chest radiograph and the associated factors between a medical primary care community and a Gold Standard (GS) from 3 reference radiologists. DESIGN: Crossover study. SETTING: Primary care. Teaching health centers of Elche. METHODS: Interobserver percentage agreement (IPA) and Kappa statistic (K) were used to analyse the interobserver agreement (IA) between the GS and every of the participants in interpretation of 100 radiographs. Intraobserver variability was assessed with a second review. Using uni and multivariant analysis some possibly associated factors were studied. RESULTS: Overall IPA and K were 71.3% (CI 95%: 69.2-73.3) and 0.41 (CI 95%: 0.36-0.46) respectively. Time employed in radiographs reading and time passed after medicine studies finished were independently and significantly associated to higher and lower interobserver agreement results respectively, whereas recent professional experience, permanent job and age were not associated. Professional training is the variable that most explain the inter and intraobserver variability. CONCLUSIONS: Overall IA is acceptable. The IA showed by the participants trained under the MIR system is good but the IA achieved by the rest of participants is not acceptable. It is necessary a training which increase the clinical competence, as it does MIR training.  相似文献   
47.
In the early eighties, at the Boris Kidrich Institute Vincha, a method for measuring specific heat and electrical resistivity of electrical conductors in the millisecond resolution range was developed for measurements from room temperature to 1900 K. Over a period of nearly 10 years, the method was applied to different materials, including pure metals, ferrous, and nickel/ chromium alloys, and to the characterization of candidate materials for thermophysical property reference standards. This paper describes the method and reviews the results obtained in specific heat and electrical resistivity studies of ferromagnetic and other materials. The paper also demonstrates capabilities of the method for describing phase transitions or anomalies in pure metals (Fe, Co, Ni) or alloys (Nichrome, austenitic stainless steel).Paper presented at the Second Workshop on Subsecond Thermophysics, September 20–21, 1990, Torino, Italy.  相似文献   
48.
The inhibiting action of N-arylpyrroles on aluminium in 0.17 mol dm–3 hydrochloric acid solution, in the temperature range 20–60 °C, was studied using potentiodynamic and electrochemical impedence spectroscopy techniques. The inhibiting efficiency of both investigated compounds 1-(2-fluorophenyl)-2,5-dimethylpyrrole (compound A) and 1-(2-fluorophenyl)-2,5-dimethylpyrrole-3-carbaldehyde (compound B) slightly increases with increasing temperature of the corrosive solution. Inhibitor adsorption on the elecrode surface decreases the apparent activation energy of the hydrogen evolution reaction. Compound A follows the Temkin adsorption isotherm, while its carbaldehyde derivative follows the Langmuir isotherm. The results of the apparent energy of activation and the standard free energy of adsorption point to stronger chemisorption of the compound A. However, due to additional condensation of molecules with carbaldehyde groups on the electrode surface, the carbaldehyde derivative exhibits even better inhibiting efficiency than compound A. The kinetic corrosion parameters, analysed in terms of the impedance data, show a satisfactory agreement with those obtained by the potentiodynamic method.  相似文献   
49.
The paper describes a novel experiment characterized by the development of a confocal geometry in an external Micro-PIXE set-up. The position of X-ray optics in front of the X-ray detector and its proper alignment with respect to the proton micro-beam focus provided the possibility of carrying out 3D Micro-PIXE analysis. As a first application, depth intensity profiles of the major elements that compose the patina layer of a quaternary bronze alloy were measured. A simulation approach of the 3D Micro-PIXE data deduced elemental concentration profiles in rather good agreement with corresponding results obtained by electron probe micro-analysis from a cross-sectioned patina sample. With its non-destructive and depth-resolving properties, as well as its feasibility in atmospheric pressure, 3D Micro-PIXE seems especially suited for investigations in the field of cultural heritage.  相似文献   
50.
New inclusion methods for the simultaneous determination of the zeros of algebraic, exponential and trigonometric polynomials are presented. These methods are realized in real interval arithmetic and do not use any derivatives. Using Weierstrass' correction some modified methods with the increased convergence rate are constructed. Convergence analysis and numerical example are included.  相似文献   
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